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The Use of Vacuum Erection Devices in Erectile Dysfunction After Radical Prostatectomy
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Regaining Erectile Function after Prostate Cancer Surgery:
It is important to remember that regaining erectile function takes time after radical robotic prostatectomy. Most studies in the literature use endpoints of months after prostate cancer surgery. Nerve tissue can be easily damaged during robotic prostatectomy, regardless of the skill of the surgeon, and takes a long time to regenerate. It is believed that early postoperative medical therapy can aid an earlier return to potency. A recent study by Dr. Patrick Walsh and associates at John Hopkins has shown that mono and bipolar cautery near the potency nerves severely impact the erectile function of dogs. Mono and bipolar cautery are routinely used by many institutions to limit the bleeding during surgery by heat-sealing or 'cauterizing' the bleeding vessels. The nerves for potency are intertwined with a bundle of blood vessels, which must be controlled during prostate cancer surgery to prevent large blood losses. Thus to preserve the nerves of potency, a surgeon also must prevent the bleeding of these vessels also. Cautery is considered a standard method of sealing the blood vessels, allowing the nerve bundles to now be properly visualized.
Account Options Sign in. My library Help Advanced Book Search. Mark Scholz , Ralph Blum. Every year almost a quarter of a million confused and frightened American men are tossed into a prostate cancer cauldron stirred by salespeople representing a multibillion-dollar industry. In this flourishing business, the radical prostatectomy is still the most widely recommended treatment option.
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Erectile dysfunction ED , also known as impotence , is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image. The term erectile dysfunction is not used for other disorders of erection, such as priapism. Treatment involves addressing the underlying causes, lifestyle modifications, and addressing psychosocial issues. In some cases, treatment can involve inserting prostaglandin pellets into the urethra , injecting smooth muscle relaxants and vasodilators into the penis, a penile implant , a penis pump , or vascular reconstructive surgery. ED is characterized by the regular or repeated inability to achieve or maintain an erection of sufficient rigidity to accomplish sexual activity.
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Пользователь писал письмо, пропускал его через специальную программу, и на другом конце линии адресат получал текст, на первый взгляд не поддающийся прочтению, - шифр. Тот же, кто перехватывал такое сообщение, видел на экране лишь маловразумительную абракадабру.
Расшифровать сообщение можно было лишь введя специальный ключ - секретный набор знаков, действующий как ПИН-код в банкомате. Ключ, как правило, был довольно длинным и сложным и содержал всю необходимую информацию об алгоритме кодирования, задействуя математические операции, необходимые для воссоздания исходного текста. Теперь пользователь мог посылать конфиденциальные сообщения: ведь если даже его послание перехватывалось, расшифровать его могли лишь те, кто знал ключ-пароль.
Я оплачу тебе билет до дома, если… - Молчите, - сказала Меган с кривой улыбкой. - Я думаю, я поняла, что вам от меня. - Она наклонилась и принялась рыться в сумке.
Он не хотел, чтобы оно попало в АНБ. Но чего еще можно было ждать от Танкадо - что он сохранит кольцо для них, будучи уверенным в том, что они-то его и убили. И все же Сьюзан не могла поверить, что Танкадо допустил бы .
Он почувствовал болезненное жжение в боку. Мое тело мне больше не принадлежит.
Вы хотите отправить его домой. - Нет. Пусть остается. - Стратмор кивнул в сторону лаборатории систем безопасности.
Сьюзан будет искать защиту у него, поскольку ей негде больше будет ее найти. Она придет к нему беспомощная, раздавленная утратой, и он со временем докажет ей, что любовь исцеляет. Честь. Страна. Любовь.
- Мы очень заняты. Беккер старался говорить как можно официальнее: - Дело весьма срочное. Этот человек сломал запястье, у него травма головы. Он был принят сегодня утром.